Provider Demographics
NPI:1003218595
Name:U CITY URGENT CARE, LLC
Entity Type:Organization
Organization Name:U CITY URGENT CARE, LLC
Other - Org Name:ACCUHEALTH URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JILING
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:314-600-1335
Mailing Address - Street 1:9554 LITZSINGER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63124-1486
Mailing Address - Country:US
Mailing Address - Phone:314-600-1335
Mailing Address - Fax:
Practice Address - Street 1:8612 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-2504
Practice Address - Country:US
Practice Address - Phone:314-600-1335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEMP MEDICAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-16
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7347290001Medicare NSC